Anxiety in Youth with T1D

Parenting a youth with Type 1 Diabetes can be tough, when a mental health diagnosis has also been ruled in it can make it difficult to manage both aspects. Anxiety is a common among those with T1D, if you think that your child may be experiencing symptoms of anxiety there is lots of helpful resources!

Anxiety in Attorneys

As an attorney experiencing high levels of stress on a daily basis may seem normal to you however too much stress can lead to anxiety. Learn more if you are experiencing anxiety from stress and what treatment options are available.

Acknowledging Your Anxiety

I’ve been talking with my clients a lot recently about how to manage anxiety and stress. We’re all experiencing probably a higher level of anxiety than what we’re used to. Some people have a lot of skills for managing that and some of us don’t

6 Ways to Manage Anxiety During The Coronavirus Outbreak

Everyone has been talking about the Coronavirus, otherwise known as COVID-19. It’s all over the news, it’s pervading daily conversation, and it’s supposedly pretty scary for our older population, particularly those with underlying severe, chronic health conditions. This global epidemic (and some may call it a full-fledged pandemic) is impacting our global health, economy and way of life as we know it.

According to the World Health Organization (WHO), “Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV)A novel coronavirus (nCoV) is a new strain that has not been previously identified in humans.”

Common signs mimic a common cold or flu, with respiratory symptoms such as a cough, fever, shortness of breath or trouble breathing.

As more and more confirmed cases start popping up all around us, anxiety naturally increases.

WHAT IS ANXIETY?

Anxiety is like worry on caffeine. Anxiety is our brain’s way of letting us know that something is unsafe, dangerous or potentially harmful/deadly. We are survival creatures and we don’t like things to disrupt our safe, consistent routine. COVID-19 has begun to do just that.

Anxiety is adaptive. If we sense danger (even perceived danger), our brain perks up and gets our body ready for action to fight, run or freeze. This is how we protect ourselves and those we love.

Anxiety is only good until a certain level. Because anxiety motivates us and keeps us safe, it works great for short bursts and for specific situations. What happens when we are overly anxious for too long of a time? It’s different for everyone, but if we are too anxious, it no longer helps us, and it can begin to interfere with our daily life. We may be recluse, avoid, become depressed or even develop panic attacks.

When we enter an unknown situation like a global viral epidemic, fears run wild. We have little past experience on what to expect, how things may change (humans hate change!) and future impact on our health – physically, emotionally, financially and economically.

We must have anxiety during this time, as it helps us become prepared to take on a threat to our existence. Yet, we still don’t know what will become in our country or in our state. For our own mental health and the mental health of our children watching how we react and respond…we must find ways to use both our emotion mind and our logic mind to stay in the WISE mind (to learn more about “wise mind”, look up Dialectical Behavior Therapy- DBT).

6 WAYS TO MANAGE ANXIETY DURING THE CORONAVIRUS (COVID-19) OUTBREAK

REDUCE YOUR PREOCCUPATION WITH CORONAVIRUS NEWS

Coronavirus is undeniably a major topic of discussion in the news, but constantly listening to updates and reading stories may lead to increased anxiety. It’s also important to know which news sources are providing accurate information so you’re not distressed over news that isn’t even factual. Limit your news consumption so you can stay informed without becoming preoccupied. The WHO is a great resources as is the CDC.

Turn off the t.v. when enjoying a family meal. Turn off alerts from news outlets on your phone. Set aside one or two times a day (if needed) to look at credible news sources so that you can function throughout the rest of your day at school, work or at home.

KNOW YOUR OWN RISK OF CATCHING CORONAVIRUS

According to the CDC, the immediate risk of exposure to the Coronavirus is low for most people. Additionally, it has been reported that most cases are mild. Those who are at a greater risk for experiencing a severe Coronavirus illness are older people and those with preexisting health conditions such as heart disease, lung disease, and diabetes. If you fall into one or more of those categories, take extra precaution in your Coronavirus prevention.

Remember, just because you may fall into the high-risk category does NOT mean you will catch it. And if you do, it does NOT mean that you will die. It’s important to keep a rational mind about the statistics.

USE CORRECT PREVENTATIVE METHODS

While you can’t control the spread of Coronavirus, you can control how you respond to this situation. The CDC recommends these everyday actions to prevent the spread of illness:

  • Avoid close contact with people who are ill.
  • Clean frequently touched objects and surfaces.
  • Wash your hands often with soap and water. Hand sanitizer is good enough in a pinch.
  • Avoid touching your face, especially your mouth, eyes, and nose.
  • There’s no need to wear a mask. Save them for medical professionals and those who are ill.

This is a big life lesson of learn to control what we can, and accept what we cannot. Germs spread. It’s actually incredible if you think about it, how much our bodies can take on a daily basis with the germs we come into contact with every day. Our bodies are resilient and self-repair constantly. We know what we need to do to do our best in controlling the spread of all germs.

CREATE A PLAN OF ACTION

Talk with those in your household about what to do if Coronavirus spreads to your community. Assess the needs of each person, especially those who are at an increased risk of developing severe complications. Learn about the resources that are available to you in case you need health care services, information, or any additional support. Stay in contact with your work, your child’s school, and local agencies about any upcoming closings or modifications in gatherings.

If it helps, stock up on some necessary supplies like toilet paper, medications, canned and boxed foods, frozen foods, and other supplies that you may need if in your home for 2-4 weeks. Prior Planning Prevents Poor Performance. This is true in times of uncertainty and can really slow the rise of anxiety.

RECOGNIZE THAT IT’S NORMAL TO BE WORRIED ABOUT THE CORONAVIRUS

Since we do not yet know everything about the Coronavirus, it’s definitely ok to be worried. Having some anxiety might even encourage you to take preventative measures (like washing your hands more than usual) which, in turn, will reduce your risk of getting sick. However, stressing over the fact that you’re anxious about the Coronavirus will only make the cycle worse.

Stress increases cortisol and other hormones that make us eat worse and sleep less. This can lead to being physically and emotionally run down, with or without the Cornoavirus.

These are always good tips in times of stress:

  • Get enough rest. Without enough sleep, our brain/body won’t function optimally.
  • Maintain a healthy diet. Try to avoid the extra sugar and carbs and stock up on veges and whole foods.
  • Get outside. We need some fresh air and nature to help ease anxiety.
  • Move your body. Even just running up and down the stairs, going for a walk around the block or doing a dance party with your kids at home can improve mood.
  • Yoga or Meditation can calm a busy mind. Start doing this with your children or partner/spouse, have fun with relaxation. Make it part of your day.
  • Stay connected. Even in social distancing times, we need to remain connected (at least emotionally) to those we love.
  • Power in the Pause. Start to listen to your body. Most of the time, our body knows what we are feeling before “we” know! Stop, breath, listen and be gentle with yourself.

TALK TO A MENTAL HEALTH PROVIDER…VIRTUALLY!

If your anxiety about Coronavirus is surpassing what you can handle, a little therapy won’t hurt. Anxiety often arises during times of uncertainty, but that’s when it’s most important to keep mentally healthy. Therapy can help you manage anxiety about many different things.

In today’s world, tele-mental health (otherwise known as online therapy or eTherapy) allows people to access mental health therapy from the germ-free comfort of their own home or surroundings! 

Having excessive anxiety about the Coronavirus will lead to more harm than good. Use preventative methods, make a plan, and know that you’re going to be okay. Always remember that help is available if you need it, for both your physical and mental needs.

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Anxiety Training Tips

By: Bridget Eickhoff

Anxiety, worry, and panic are felt by many of us at some point in our lives. After attending a training by David Carbonell, Ph.D. on chronic anxiety, I picked up some helpful tools that I would like to share.

The more you oppose unwanted thoughts, feelings, and sensations the worse they can become

A big reason behind anxiety symptoms is self-protection. People often interpreted anxiety as a signal for danger, meaning fight, flight, or freeze; but what if that was a false signal. What if this feeling is intense discomfort that will eventually pass if it is not forced to be silence. Next time you are experiencing anxiety check-in with yourself and if you indeed are in danger or is this discomfort? If it turns out to be discomfort allow yourself 5-10 minutes to worry, you may be surprised how different it feels to allow the worry to have its time rather than continue to suppress it.

 

The Rule of Opposites

Think of yourself swimming and trying to avoid a large wave coming your way. You may ask yourself “what is the best way for me to avoid this wave?” Your instincts may say to swim away from the wave and hope you can be faster, but in reality the easiest way to avoid the wave is to swim under it. The same can apply to feelings of anxiety and worry. During a panic attack your gut may tell you to hold your breath or take in more breaths at a time, when what is shown to help is taking deep belly breaths. Next time you find yourself beginning to feel anxiety or panic, try to recognize how your gut tells you to react and think about what the opposite might be.

 

The next time you are experiencing high anxiety or a panic attack be AWARE

Acknowledge and accept the feelings

Wait and Watch – recognize what the sensations in your body and your thoughts (this could be a good time to try doing the opposite of your usual)

Action – make yourself comfortable while waiting for it too pass

Repeat – go through steps a-c and try to think to yourself it will end no matter what I do

End of intense anxiety or panic attack

 

Our therapists at CARE Counseling are trained and competent in working with those experiencing symptoms of anxiety. Your counselor will be able to help explore with you common patterns of negative thinking, help you develop successful coping skills, and teach calming strategies.

 

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For more helpful information on anxiety click here

Interested in scheduling an appointment?

Call us at 612-223-8898 or schedule online here

11 Ways to Stop a Panic Attack

Panic attacks

Panic attacks are sudden, intense surges of fear, panic, or anxiety. They are overwhelming, and they have physical as well as emotional symptoms.

Many people with panic attacks may have difficulty breathing, sweat profusely, tremble, and feel their hearts pounding.

Some people will also experience chest pain and a feeling of detachment from reality or themselves during a panic attack, so they make think they’re having a heart attack. Others have reported feeling like they are having a stroke.

Panic attacks can be scary and may hit you quickly. Here are 11 strategies you can use to try to stop a panic attack when you’re having one or when you feel one coming on:

1. Use deep breathing

While hyperventilating is a symptom of panic attacks that can increase fear, deep breathing can reduce symptoms of panic during an attack.

If you’re able to control your breathing, you’re less likely to experience the hyperventilating that can make other symptoms — and the panic attack itself — worse.

Focus on taking deep breaths in and out through your mouth, feeling the air slowly fill your chest and belly and then slowly leave them again. Breathe in for a count of four, hold for a second, and then breathe out for a count of four:

2. Recognize that you’re having a panic attack

By recognizing that you’re having a panic attack instead of a heart attack, you can remind yourself that this is temporary, it will pass, and that you’re OK.

Take away the fear that you may be dying or that impending doom is looming, both symptoms of panic attacks. This can allow you to focus on other techniques to reduce your symptoms.

3. Close your eyes

Some panic attacks come from triggers that overwhelm you. If you’re in a fast-paced environment with a lot of stimuli, this can feed your panic attack.

To reduce the stimuli, close your eyes during your panic attack. This can block out any extra stimuli and make it easier to focus on your breathing.

4. Practice mindfulness

Mindfulness can help ground you in the reality of what’s around you. Since panic attacks can cause a feeling of detachment or separation from reality, this can combat your panic attack as it’s approaching or actually happening.

Focus on the physical sensations you are familiar with, like digging your feet into the ground, or feeling the texture of your jeans on your hands. These specific sensations ground you firmly in reality and give you something objective to focus on.

Some people find it helpful to find a single object to focus all of their attention on during a panic attack. Pick one object in clear sight and consciously note everything about it possible.

For example, you may notice how the hand on the clock jerks when it ticks, and that it’s slightly lopsided. Describe the patterns, color, shapes, and size of the object to yourself. Focus all of your energy on this object, and your panic symptoms may subside.

6. Use muscle relaxation techniques

Much like deep breathing, muscle relaxation techniques can help stop your panic attack in its tracks by controlling your body’s response as much as possible.

Consciously relax one muscle at a time, starting with something simple like the fingers in your hand, and move your way up through your body.

Muscle relaxation techniques will be most effective when you’ve practiced them beforehand.

7. Picture your happy place

What’s the most relaxing place in the world that you can think of? A sunny beach with gently rolling waves? A cabin in the mountains?

Picture yourself there, and try to focus on the details as much as possible. Imagine digging your toes into the warm sand, or smelling the sharp scent of pine trees.

This place should be quiet, calm, and relaxing — no streets of New York or Hong Kong, no matter how much you love the cities in real life.

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This Is When to See a Mental Health Professional About Your Anxiety

It seems everyone is talking about anxiety these days, and that’s not a bad thing. Shining a light on mental health helps reduce the stigma that keeps many people from seeking support.

At the same time, it can be hard to know if the worries and racing heart you experience at the thought of, say, meeting new people, is run-of-the-mill stress, or if you’re actually experiencing some level of anxiety and could benefit from seeing a professional.

“I can’t tell you how many people I see who say, ‘I don’t know if I should be coming in here,’” clinical psychologist Robert Duff, Ph.D., author of Hardcore Self Help: F**k Anxiety., tells SELF. “On a broad scale, [talking about anxiety] is positive, but I don’t blame anyone for the confusion.”

Figuring out how serious your anxiety is can be tough because anxiety is a normal and essential part of being a human.

“Anxiety is a reaction to a situation we perceive as stressful or dangerous,” Monique Reynolds, Ph.D., licensed clinical psychologist at the Center for Anxiety & Behavioral Change in Rockville, Maryland, tells SELF. This produces a stress response in your body—specifically, your brain’s hypothalamus triggers your sympathetic nervous system to release norepinephrine (aka adrenaline) and cortisol (a stress hormone) to get you out of harm’s way.

This is actually a good thing when there is a real threat of danger present. “A major part of our brain’s job is to keep us alive, and fear and anxiety are a big part of that,” Reynolds says. For example, the anxiety you would feel at seeing a truck hurtling towards you would make you move from its way more quickly.

But if you have anxiety, that stress response can kick in when it shouldn’t. “You feel very much the way you do when in a dangerous situation…[but] there’s no real danger there,” Duff says. Instead of being helpful, this misfiring of your fight or flight reaction can hinder you.

While a little anxiety can also help you to perform at an optimal level under stress, giving you a burst of adrenaline and hyper-focus to finish a business proposal before deadline or nail that dance number at a performance, living in a constant heightened state of anxiety can be distracting at best and debilitating at worst. When anxious thoughts are interfering with your life and causing you significant distress, that isn’t something you should just chalk up to nerves and push through. That’s something you can get help with.

Anxiety is the most prevalent mental illness in the United States, and it comes in various forms.

Anxiety affects about 40 million American adults each year, according to the Anxiety and Depression Association of America (ADAA). But it’s not as cut-and-dry as saying that anxiety is simply when you feel nervous all the time. This mental health condition comes in many forms.

Generalized anxiety disorder (GAD) is characterized by having excessive worries and fears for months, according to the National Institute of Mental Health (NIMH). Per the ADAA, GAD affects 6.8 million U.S. adults each year. Panic disorder involves spontaneous bouts of debilitating fear known as panic attacks, along with intense worry about when the next attack will come, according to the NIMH. Per the ADAA, it affects 6 million American adults each year. Social anxiety disorder (also known as social phobia) happens when you have a marked fear of social situations in which you might be judged or rejected, as well as avoiding these situations or experiencing symptoms like nausea, trembling, or sweating as a result.

Then there are other issues that are closely related to anxiety, like obsessive-compulsive disorder, which involves intrusive thoughts and urges, and posttraumatic stress disorder, which happens when people have a prolonged stress response to harrowing situations.

These are just some of the various anxiety and anxiety-adjacent disorders out there. That these issues can present in myriad ways can make it even harder to know if what you’re experiencing is anxiety that could benefit from outside help.

“Some people feel they can control their anxiety, some feel it’s something they ‘should’ be able to manage, some feel shame, some fear they might be ‘crazy,’ and others downplay how much their anxiety is impacting them,” Reynolds says.

If anxiety interferes with your daily life—whatever that might look like to you—that’s reason enough to see a mental health professional.

“When your world starts to become limited because of anxiety, that is a good signal that it’s time to seek treatment,” Reynolds says. “What is it doing to your life, your relationships, your sleep, health, work, and ability to learn and pursue things that are important to you?”

This “functional impairment,” as Reynolds calls it, can show up in different ways in different people. Is anxiety making you avoid doing things with loved ones because you’re too nervous to go outside? Do you skip school or work out of fear of what people may think of you? Can you not get enough sleep because you’re up all night worrying about the next day? Is your anxiety over certain tasks, like paying bills, leading to procrastination so extreme it comes with consequences, like getting your lights turned off?

Keep tabs on whether you’re blowing up at people, too. Anger and irritability can sometimes be a sign of anxiety. “We often forget that fight or flight includes ‘fight,’” Reynolds says. “If you have a shorter fuse or are always on edge for triggers, it could be related to anxiety.”

So, too, could physical issues. “We think of ourselves as these disembodied heads floating around,” Reynolds says. “We forget that there is a big feedback loop between the nervous system and the body.” Every part of you, from your head to your stomach to your feet, has nerves to regulate important processes, which is why your sympathetic nervous system’s stress response can be so far-reaching. You even have an entire nervous system reserved for gastrointestinal function, known as your enteric nervous system, which may help explain why there’s such a strong link between issues like irritable bowel syndrome and anxiety.

Constant fatigue can also kick in if your anxiety is in overdrive. “The physical reaction to anxiety, by nature, is supposed to be short-term. The body is supposed to come back down to baseline,” Duff says. “But a prolonged period of anxiety depletes your resources and exhausts you.”

“If your anxiety is bothering you and you are suffering, you deserve to get help,” Duff says. That’s true whether or not you think your anxiety is serious, whether or not you think you meet diagnostic criteria you read online, and whether or not your friends and family treat your anxiety with the weight it deserves. And if your anxiety is getting to the point where you’re worried for your safety, call 9-1-1 or the National Suicide Prevention Lifeline (it’s available 24 hours a day, seven days a week at 1-800-273-8255), or go to the emergency room, Reynolds says.

Seeing a therapist can be anxiety-inducing on its own, but it’s worth it. Here are a few ways to make it easier.

Knowing what to expect at your first therapy session may make the experience less scary. Although every professional is different, you’re likely to get a lot of questions at the first visit. Ultimately, your psychologist or therapist’s goal is to learn what troubles you’re having so that they can create a plan to help you build the skills you need to address your anxiety.

They’ll also want to figure out which kind of therapy best matches your needs. Different forms, like cognitive behavioral therapy, which aims to help people change negative thought patterns, work for different people.

Since the cost of therapy can be prohibitive, know that there are resources to help you find affordable treatment, like the National Alliance on Mental Health’s HelpLine at 1-800-950-6264. The HelpLine is available Monday through Friday, from 10 A.M. to 6 P.M., and you can explain your specific situation to the staffer or volunteer who answers. They may be able to refer you to local organizations that offer more affordable treatment. You can also try the Substance Abuse and Mental Health Services Administration (SAMHSA) treatment locator tool, which can help you find mental health providers who take various forms of insurance, offer payment assistance, or use a sliding scale. Resources like GoodTherapy also allow you to limit search results to therapists who use sliding scales.

And don’t stress about meeting some arbitrary threshold of anxiety for your appointment to be worth the effort. “Somebody with anxiety [may] think there is a risk to seeing someone. ‘If I go and don’t have an anxiety disorder, there’s something bad about that,’” Duff says. “That’s not true. If you are suffering and seeing some of these signs, that’s enough.”

It may be that all you need is a few sessions, or you may meet weekly for months or years based on your goals. Your psychologist or therapist might decide medication would help you live your healthiest, happiest life, or just having someone to talk to might work for you. Also, if you decide you’re not really into the person you’re seeing but you still want help, there’s absolutely nothing wrong with trying someone else, Duff says.

Ask yourself what kind of life you want to live and what’s holding you back from achieving it, Reynolds says, adding, “If there’s anything related to fear and anxiety, it’s a great sign that maybe you need support around those things.”

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